Treatment of peripheral arterial disease in diabetes: A consensus of the Italian Societies of Diabetes (SID, AMD), Radiology (SIRM) and Vascular Endovascular Surgery (SICVE)

被引：94

作者：

Aiello, A. ^{[1
]}

Anichini, R. ^{[2
]}

Brocco, E. ^{[3
]}

Caravaggi, C. ^{[4
]}

Chiavetta, A. ^{[5
]}

Cioni, R. ^{[6
]}

Da Ros, R. ^{[7
]}

De Feo, M. E. ^{[8
]}

Ferraresi, R. ^{[9
]}

Florio, F. ^{[10
]}

Gargiulo, M. ^{[11
]}

Galzerano, G. ^{[12
,13
]}

Gandini, R. ^{[14
]}

Giurato, L. ^{[15
]}

Graziani, L. ^{[16
]}

Mancini, L. ^{[17
]}

Manzi, M. ^{[18
]}

Modugno, P. ^{[19
]}

Setacci, C. ^{[12
,13
]}

Uccioli, L. ^{[15
]}

机构：

[1] PO Campobasso ASReM, Campobasso, Italy

[2] USL 3, Serv Diabetol, Pistoia, Italy

[3] Presidio Osped ULSS 16, Policlin Abano Terme, Veneto, Italy

[4] Ist Clin Citta Studi, Milan, Italy

[5] AO Cannizzaro, Catania, Italy

[6] Azienda Osped Univ Pisana, Dipartimento Radiol Diagnost Interventist & Med N, Pisa, Italy

[7] Ctr Diabetol Monfalcone GO Ass2, Gorizia, Italy

[8] UOS Diabetol AORN A Cardarelli, Naples, Italy

[9] Ist Clin Citta Studi, Milan, Italy

[10] IRCCS Casa Sollievo Sofferenza, San Giovanni Rotondo, Italy

[11] Azienda Policlin S Orsola Malpighi, Bologna, Italy

[12] Univ Siena, Dept Vasc Surg, I-53100 Siena, Italy

[13] Univ Siena, Endovasc Surg Unit, I-53100 Siena, Italy

[14] Policlin Univ Tor Vergata, Dipartimento Diagnost Immagini Imaging Mol Radiot, Rome, Italy

[15] Policlin Univ Tor Vergata, Dept Internal Med, Diabet Foot Unit, Rome, Italy

[16] Ist Clin Citta Brescia, Unita Operat Cardiol Invas, Brescia, Italy

[17] Ist Dermatol Immacolata IRCCS, Rome, Italy

[18] Presidio Osped ULSS 16, Policlin Abano Terme, Veneto, Italy

[19] Univ Cattolica Sacro Cuore, Fdn Giovanni Paolo 2, Dipartimento Malattie Cardiovasc, Campobasso, Italy

来源：

NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES | 2014年 / 24卷 / 04期

关键词：

Diabetic foot; Peripheral arterial disease; Angioplasty; Limb salvage; CRITICAL LIMB ISCHEMIA; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; ANKLE-BRACHIAL INDEX; LOWER-EXTREMITY REVASCULARIZATION; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; TRANSCUTANEOUS OXYGEN-TENSION; VEIN GRAFT SURVEILLANCE; FOOT ULCERS; SUBINTIMAL ANGIOPLASTY; INFRAPOPLITEAL ANGIOPLASTY;

D O I：

10.1016/j.numecd.2013.12.007

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Diabetic foot (DF) is a chronic and highly disabling complication of diabetes. The prevalence of peripheral arterial disease (PAD) is high in diabetic patients and, associated or not with peripheral neuropathy (PN), can be found in 50% of cases of DF. It is worth pointing out that the number of major amputations in diabetic patients is still very high. Many PAD diabetic patients are not revascularised due to lack of technical expertise or, even worse, negative beliefs because of poor experience. This despite the progress obtained in the techniques of distal revascularisation that nowadays allow to reopen distal arteries of the leg and foot. Italy has one of the lowest prevalence rates of major amputations in Europe, and has a long tradition in the field of limb salvage by means of an aggressive approach in debridement, antibiotic therapy and distal revascularisation. Therefore, we believe it is appropriate to produce a consensus document concerning the treatment of PAD and limb salvage in diabetic patients, based on the Italian experience in this field, to share with the scientific community. (C) 2013 Elsevier B. V. All rights reserved.

引用

页码：355 / 369

页数：15

共 153 条

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Effect of diabetes mellitus on formation of coronary collateral vessels [J].